Advance care planning in primary care, only for severely ill patients? A structured review

Background.Increasing medical possibilities, ageing of the population and the growing number of people with chronic illness appears to make advance care planning (ACP) inevitable. However, to what extent and how primary care providers (PCPs) provide ACP in daily practice is largely unknown. Objective.To provide an overview of the actual practice of ACP in primary care. Methods.We searched MEDLINE, EMBASE, CINAHL, PsycINFO and the Cochrane Library for empirical studies that described the practice of ACP with patients in primary health care. Studies focussing on non-adult patients, and hospital or nursing homeRead More

Multi-drug therapy in chronic condition multimorbidity: a systematic review

Background. Older populations often suffer from multimorbidity and guidelines for each condition are often associated with recommended drug therapy management. Yet, how different and specific multimorbidity is associated with number and type of multi-drug therapies in general populations is unknown. Aim. The aim of this systematic review was to synthesize the current evidence on patterns of multi-drug prescribing in family practice. Methods. A systematic review on six common chronic conditions: diabetes mellitus, cardiovascular disease, cerebrovascular disease, chronic obstructive pulmonary disease (COPD), osteoarthritis and depression was conducted, with a focus onRead More